Organization
SUPER SAVER DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL MATKINS GOOCH R.PH. (PHARMACIST)
(662) 534-4774
Entity
Organization
Contact information
Practice address
498 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-4774
(662) 534-4775
Mailing address
PO BOX 867, NEW ALBANY, MS 38652-0867
(662) 534-4774
(662) 534-4775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02138011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330526
—
MS
05
—
00440688
—
MS
Enumeration date
08/17/2006
Last updated
05/27/2008
Update your record
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